Abstract

A 56-year-old patient was sent to our Oral Pathology service with a chief complaint of “painful sores on her tongue”. She also complained of difficulty chewing any solid food. According to the patient, the change had been present for 6 months, but the pain had worsened in the last 2 months. She also reported frequent abdominal pain. Pain started just before the appearance of the oral lesions and weight loss in these last few months. No palpable cervical lymph nodes were found. Intraoral examination revealed ulcers on the right and left lateral border of the tongue, with red, irregular patches and raised edges. The marginal gingiva was swollen and erythematous (Figures 1A and 1B). The medical history was non-contributory.

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